Texas Medicaid Eligibility Requirements
This page provides general guidelines for the Texas Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Texas Health and Human Services Commission. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Texas Medicaid office.
Texas Medicaid Overview
The Medicaid program is a federal and state funded program that serves needy individuals and families who meet income and other eligibility requirements and who lack adequate resources to pay for medical care.
Texas Medicaid Eligibility Requirements - Non Income
Must be a U.S. citizen or legal permanent resident and live in Texas.
Documents Needed For Texas Medicaid Application
- Proof of Income
- Need to Provide Social Security Number
- Proof of Citizenship/Immigration Status
Texas Medicaid Benefits
Medicaid pays for acute health care (physician, inpatient, outpatient, pharmacy, lab, and x-ray services), and long-term services and supports for aged and disabled clients.
Texas Medicaid & CHIP Eligibility Levels
Below is the modified adjusted gross income (MAGI) eligibility levels for Texas Medicaid and Children's Health Insurance Program (CHIP).
Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| No |
|
201% | Medicaid: 198% CHIP: N/A |
15% | 0% |
Eligibility Levels - Individual By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| No |
|
$1,955 | Medicaid: N/A CHIP: N/A |
$146 | $0 |
Eligibility Levels - Family Of Two By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| No |
|
$2,635 | Medicaid: $2,595 CHIP: N/A |
$197 | $0 |
Eligibility Levels - Family Of Three By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| No |
|
$3,315 | Medicaid: $3,265 CHIP: N/A |
$247 | $0 |
Eligibility Levels - Family Of Four By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| No |
|
$3,995 | Medicaid: $3,935 CHIP: N/A |
$298 | $0 |